Stamou Sotiris C, Bafi Ammar S, Kapetanakis Emmanouil I, Lowery Robert C, Pfister Albert J, Dullum Mercedes K C, Boyce Steven W, Corso Paul J
Section of Cardiac Surgery, Department of Surgery, Georgetown University Hospital, Washington, D.C., USA.
J Card Surg. 2003 Mar-Apr;18(2):170-2. doi: 10.1046/j.1540-8191.2003.02008.x.
We present a 65-year-old female patient with dextrocardia and situs inversus who underwent successful coronary artery bypass without cardiopulmonary bypass. Vessels revascularized included right internal mammary artery to the left anterior descending artery and a saphenous vein graft to the first obtuse marginal branch. The procedure was performed on a beating heart through a median sternotomy with the use of a compression epicardial stabilizer. The patient was discharged to her home after an uneventful recovery. Only 12 similar cases of myocardial revascularization in patients with dextrocardia have been reported so far, and this is one of the first procedures, in patients with dextrocardia, performed off pump.
我们报告了一名65岁患有右位心及内脏反位的女性患者，其在非体外循环下成功接受了冠状动脉搭桥手术。血管再通包括右乳内动脉至左前降支动脉以及大隐静脉移植至第一钝缘支。该手术通过正中胸骨切开术在跳动的心脏上进行，使用了心外膜压迫稳定器。患者恢复顺利，出院回家。迄今为止，仅报道了12例右位心患者进行心肌血运重建的类似病例，而这是右位心患者首批非体外循环下进行的手术之一。
